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Death Certificate - Ireland, Tessie_6/18/1980
� tli'�a3�€'�`J{�r11"-'^�M1' _ : ��;.:........." .,,' ,. :� , x�coiiu ot• �,h:a•r�i � . . _ . . • , ` .r•.;'• ;� '•i •�`� .. , ', . . :a�.. �:5:-Ik!;;,i�y.i'(A�1fiYt��,,?.�+y' Y •.�1i , , �.. - .;......... _.. .. .f CIRSON COUA'1'Y DLPAl{T�i11;N1' ' ' ' ' - _PRINCF.TON, INDIp�;q OF HI;ALTI3 . �_ ' ' . . . TIIIS IS TO CERTIFY, that our records show.______ _ _ ,. TESSIE IRELAND � -- ------�---- -----��8/?3---....:,t . .!_ Forest died � _ month dn �%-�`OAPA._._._._ _ Del N .•,4 Y y�ar i����� ��r ����n ... . -- -•� r"�;.._Home Princeto ' .. I -- nlrcet. nosp�tsl, rurnl ` ..-�.:Ind._ ._... Aye at Death. __9?. , , . Sex Pe . Culor .Wh . ycara �' . - . biiu•il:�l S�.�i,... _._.�� •i..LL_ . Pl'�n1�u'y cause of death v �� W' c�her married or aingle . 8'i en w:LS----- �P--�=-°brai._. . •� ------------ nemorrhage-------°------------- Signed Piace of burial or Date of burial 4/1 --- ---...... ���------ James r� peck. MD ------ -- physician or coroner Princeton, Ind_ name of cemeteq� addmss " . � FLneral Direcbr —"--��K-�'ana Ci.l, t _ , � eddresa �i SEAL �,( � G%� � �J/i'j�CG. .. �,E� �„� ` s;g„�a_--- � `� Cibson County Henith Com ssione--- � . nddresa � • f . Reoorded locally in book No.—. 8 . daa ��;. I ;: � ,� , -------re8e No.-:--�F�l 4 1 � . t ' . , � ;• . � `�d' �.�/7? . . 1�., ,., ' h� �� . . ^ ' .•� •.� '.. �, � . _ .. . 1' V ',. `. .'' F�� ; a . r. � .!. . . . . •o-.. .. ... ... _. �. � j A �'. t � _ f� � .... .._ . . ..i .c ..... ' tl• f'ti' h� � � .. -. ' .. . ..-.'; ].n..'_�. • _ ' _ . .S ' . . . . � . �. - . . � ` � '� ' . , � . . ... �._'!V`I�:yi.`I.'... .. . : y �..'1 ' }�1vi� V.. /. . � ` . I011M �• . . . ,'I��y'. F?etwred by BEY1'ON TITLEi� .: •�. r.•:� . ._ ..Y:'; i , : �n :� :• „i . .;�.�. i �.,. � ..'•'Princoton,.�indiuna . .